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ALEXIAN BROTHERS HEALTH SYSTEM

Company Details

Entity Name: ALEXIAN BROTHERS HEALTH SYSTEM
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 03 Oct 1983
Company Number: CORP_53224083
File Number: 53224083
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DMGJKNJFR8D3 2024-06-20 200 S WACKER DR STE 1213, CHICAGO, IL, 60606, 5829, USA 2601 NAVISTAR DR BLDG 4 FL 2, LISLE, IL, 60532, USA

Business Information

Doing Business As ASCENSION ILLINOIS
Congressional District 07
State/Country of Incorporation IL, USA
Activation Date 2023-06-23
Initial Registration Date 2020-08-01
Entity Start Date 1983-10-03
Fiscal Year End Close Date Jun 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JENNIFER HUETTL
Role MGR-ACCOUNTING AND REPORTING • MWF GRANTS RESEARCH
Address 1345 PHILOMENA ST, AUSTIN, TX, 78723, 3210, USA
Title ALTERNATE POC
Name JENNIFER HUETTL
Address 1345 PHILOMENA ST, AUSTIN, TX, 78723, USA
Government Business
Title PRIMARY POC
Name ROB MADSEN
Role DIR-ACCOUNTING AND REPORTING • MWF GRANTS RESEARCH
Address 1345 PHILOMENA ST, AUSTIN, TX, 78723, 3210, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2019 363260495 2020-10-05 ALEXIAN BROTHERS HEALTH SYSTEM 51
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 2601 NAVISTAR DRIVE, LISLE, IL, 60532

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing MARGARET ANDERSEN
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2019 363260495 2020-09-08 ALEXIAN BROTHERS HEALTH SYSTEM 51
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 2601 NAVISTAR DRIVE, LISLE, IL, 60532

Signature of

Role Plan administrator
Date 2020-09-08
Name of individual signing MARGARET ANDERSEN
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2018 363260495 2020-04-14 ALEXIAN BROTHERS HEALTH SYSTEM 55
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 2601 NAVISTAR DRIVE, LISLE, IL, 60532

Signature of

Role Plan administrator
Date 2020-04-14
Name of individual signing MARYJO SMITH
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2017 363260495 2018-09-27 ALEXIAN BROTHERS HEALTH SYSTEM 61
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 2601 NAVISTAR DRIVE, LISLE, IL, 60532

Signature of

Role Plan administrator
Date 2018-09-27
Name of individual signing DONALD RUSSELL
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2016 363260495 2017-10-11 ALEXIAN BROTHERS HEALTH SYSTEM 63
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 600 ALEXIAN WAY, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2017-10-11
Name of individual signing DONALD RUSSELL
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2015 363260495 2016-10-03 ALEXIAN BROTHERS HEALTH SYSTEM 70
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 600 ALEXIAN WAY, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2016-10-03
Name of individual signing DONALD RUSSELL
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2014 363260495 2015-10-09 ALEXIAN BROTHERS HEALTH SYSTEM 65
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 600 ALEXIAN WAY, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing DONALD RUSSELL
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2013 363260495 2014-10-10 ALEXIAN BROTHERS HEALTH SYSTEM 68
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 600 ALEXIAN WAY, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2014-10-10
Name of individual signing LEANN KADLEC
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2012 363260495 2013-10-11 ALEXIAN BROTHERS HEALTH SYSTEM 74
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 600 ALEXIAN WAY, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing SCOTT PETERSON
Valid signature Filed with authorized/valid electronic signature
ALEXIAN BROTHERS HEALTH SYSTEM/BONAVENTURE 401(K) PLAN 2011 363260495 2012-10-12 ALEXIAN BROTHERS HEALTH SYSTEM 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8478185100
Plan sponsor’s address 600 ALEXIAN WAY, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN 363260495
Plan administrator’s name ALEXIAN BROTHERS HEALTH SYSTEM
Plan administrator’s address 600 ALEXIAN WAY, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number 8478185100

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing JAMES LEWANDOWSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 1988-06-27

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ASCENSION MEDICAL GROUP ILLINOIS NFP Assume Name 2022-04-12 No data No data No data
ASCENSION ILLINOIS FOUNDATION NFP Assume Name 2022-04-12 No data No data No data
ASCENSION ILLINOIS NFP Assume Name 2022-01-21 No data No data No data
AMITA HEALTH FOUNDATION NFP Assume Name 2019-05-20 No data No data No data
PRESENCE HEALTH FOUNDATION NFP Assume Name 2019-04-11 No data No data No data
PRESENCE ALEXIAN BROTHERS HEALTH SYSTEM NFP Assume Name 2018-03-01 No data No data No data
ALEXIAN BROTHERS FOUNDATION NFP Assume Name 2007-09-27 No data No data No data
ALEXIAN BROTHERS HEALTH SYSTEM FOUNDATION No data 2002-06-24 2007-09-27 Voluntary Cancellation No data

Historical Names

Name Change Date
ALEXIAN BROTHERS HEALTH SYSTEM, INC. 2000-05-09

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State